1.Cervical xanthogranuloma in a case of postmenopausal pyometra.
Alpana SINGH ; Garima VATS ; A G RADHIKA ; Pragati MEENA ; Gita RADHAKRISNAN
Obstetrics & Gynecology Science 2016;59(5):411-414
Xanthogranuloma is a non-neoplastic presentation of chronic inflammation commonly seen in gallbladder, kidney and rarely seen in genital organs. Only one case has been reported in cervix. Here, we report a case of 60-year-old postmenopausal lady who presented with history of fever and purulent discharge per-vaginum. On speculum examination, cervix had an ulcer extending from 3 to 5 o'clock position. Uterus was bulky. On probing the ulcer, a 1-cm deep sinus was identified. Ultrasound showed enlarged uterus and fluid collection suggestive of pyometra. Pyometra was drained and cervical biopsy was taken from the ulcerated lesion; histopathology revealed granulomatous inflammation with predominantly xanthous cells suggestive of tuberculosis. High index of clinical suspicion needs to be maintained in abnormal cervix. It is a perplexing and rare entity for a clinician and also a diagnosis of exclusion; only histopathology can help for diagnosis. It mimics like malignancy and chronic infections.
Biopsy
;
Cervix Uteri
;
Diagnosis
;
Female
;
Fever
;
Gallbladder
;
Genitalia
;
Humans
;
Inflammation
;
Kidney
;
Middle Aged
;
Pyometra*
;
Surgical Instruments
;
Tuberculosis
;
Ulcer
;
Ultrasonography
;
Uterus
2.Cervical xanthogranuloma in a case of postmenopausal pyometra.
Alpana SINGH ; Garima VATS ; A G RADHIKA ; Pragati MEENA ; Gita RADHAKRISNAN
Obstetrics & Gynecology Science 2016;59(5):411-414
Xanthogranuloma is a non-neoplastic presentation of chronic inflammation commonly seen in gallbladder, kidney and rarely seen in genital organs. Only one case has been reported in cervix. Here, we report a case of 60-year-old postmenopausal lady who presented with history of fever and purulent discharge per-vaginum. On speculum examination, cervix had an ulcer extending from 3 to 5 o'clock position. Uterus was bulky. On probing the ulcer, a 1-cm deep sinus was identified. Ultrasound showed enlarged uterus and fluid collection suggestive of pyometra. Pyometra was drained and cervical biopsy was taken from the ulcerated lesion; histopathology revealed granulomatous inflammation with predominantly xanthous cells suggestive of tuberculosis. High index of clinical suspicion needs to be maintained in abnormal cervix. It is a perplexing and rare entity for a clinician and also a diagnosis of exclusion; only histopathology can help for diagnosis. It mimics like malignancy and chronic infections.
Biopsy
;
Cervix Uteri
;
Diagnosis
;
Female
;
Fever
;
Gallbladder
;
Genitalia
;
Humans
;
Inflammation
;
Kidney
;
Middle Aged
;
Pyometra*
;
Surgical Instruments
;
Tuberculosis
;
Ulcer
;
Ultrasonography
;
Uterus